Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jane Admire (NPI 1023139433)

Field	Value
Entity Type	Individual
Organization	Jane Admire
Address	7777 Forest Ln
City	Dallas
State	TX
ZIP	75230
Taxonomy	Otolaryngology Physician
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicare	$38.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	180	$80	$14.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	70	$120	$8.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	110	$60	$5.9K
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	250	$20	$5.7K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	80	$30	$2.3K
92550	The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…	80	$20	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Jane Admire — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,691	32,500	110	$80	$17.6K
99213	11,333	29,790	70	$60	$8.4K
99204	3,470	16,380	30	$110	$5.6K
92557	343	680	80	$30	$2.9K
92504	7	230	40	$20	$1.4K
92550	58	210	40	$20	$1K

Nearby Providers

Other providers in the same ZIP code as Jane Admire, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	TX	Clinical Medical Laboratory	$34M	$77.4M
Columbia Hospital At Medical City Dallas Subsidiary LP	TX	General Acute Care Hospital	$0	$21.5M
Anand Shivnani	TX	Radiation Oncology Physician	$1M	$0
Vikas Bhushan	TX	Hematology & Oncology Physician	$943.9K	$0
Tony Das	TX	Interventional Cardiology Physician	$845.2K	$0
John O'connor	TX	Radiation Oncology Physician	$671K	$0
Michael Isaac	TX	Cardiovascular Disease Physician	$641.7K	$0
Jerald Sklar	TX	Dermatology Physician	$450.6K	$0
Med City Dallas Outpatient Surgery Center, L.P.	TX	Ambulatory Surgical Clinic/Center	$407.6K	$0
Mitchell Moskowitz	TX	Urology Physician	$326.1K	$0

Jane Admire — Billing Profile & Reimbursement Data

Sign up for Jane Admire — Billing Profile & Reimbursement Data policy alerts

Jane Admire — Billing Profile & Reimbursement Data

Sign up for Jane Admire — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References